Aims To analyze the association between personal health conditions (self‐rated health, physical function, and chronic conditions) and symptoms of depression in Indonesia. Methods Data were collected from the Indonesian family life survey 5. This study used a cross‐sectional study design with a sample size of 17,734 respondents. We included depressive symptoms, self‐rated health, physical function, chronic conditions, demographics and socioeconomic variables. The center for epidemiologic studies depression scale was used to measure symptoms of depression. Multivariate logistic regression analysis was used to analyze the data. Results The results showed that 23.47% of respondents had depressive symptoms, 20.04% had poor self‐rated health, 55.93% had a poor physical function, and 32.37% had at least one chronic disease. Respondents who had poor self‐rated health, had poor physical function, or had a chronic condition were all had a significantly higher odds of experiencing symptoms of depression after controlling for demographic variables (age, sex, married, and education level), social‐economic, and smoking status. Conclusion Depressive symptoms were significantly associated with personal health conditions including self‐rated health, physical functioning, and chronic conditions among community residents. Strategies that can improve personal health conditions needed to be studied at the community level to improve the level of mental health.

Demographic factors have been reported to worsen COVID-19 outcomes. However, there is limited evidence about the different effects of sex and age on COVID-19 death in East Jakarta, Indonesia. This study examined the association between sex and age with COVID-19 mortality. Using COVID- 19 surveillance data of East Jakarta from March 2020 to December 2021, we calculated COVID-19 mortality and examined the risk of COVID-19 death by sex and age. The risk of COVID-19 death associated with sex and age was examined by using Multiple Logistic Regression. A total of 202.412 cases were analyzed and 1.9% of them died. The elderly had a 41.88-folds increased risk of COVID-19 mortality than younger patients (<45 years) (aOR 41.88; 95% CI 37.49-46.77; p-value <0.0001). Male had a higher risk of COVID-19 death compared to female (aOR 1.27; 95% CI 1.19-1.35; pvalue <0.0001). Age and sex had a significant association with COVID-19 mortality. Adequate management of COVID-19 cases, particularly in the elderly and male patients, may reduce the severity of COVID-19 or even mortality.

Lebih dari 50% pasien tuberkulosis memiliki indeks massa tubuh (IMT) yang rendah. Rendahnya IMT dapat memperburuk respon pengobatan dan memperbesar risiko gagal pengobatan. Studi kohort retrospektif ini dilakukan untuk mengetahui hubungan IMT dengan konversi sputum pada pasien tuberkulosis paru BTA positif. Studi dilakukan pada Desember 2013-Januari 2014 di poli paru RSUP Persahabatan dengan jumlah sampel sebanyak 120 pasien (60 pasien dengan IMT < 18,5 kg/m2 dan 60 pasien dengan IMT >18,5 kg/m2). Sampel diambil secara konsekutif. Probabilitas kumulatif gagal konversi pada pasien tuberkulosis paru BTA positif adalah 17% dan 9,2% pasien mengalami gagal konversi. Pasien tuberkulosis paru BTA positif dengan IMT < 18,5 kg/m2 (24,4%) memiliki probabilitas kumulatif gagal konversi yang lebih besar dibanding pasien dengan IMT > 18,5 kg/m2 (9,3%). Pada pasien dengan IMT < 18,5 kg/m2, hazard rate konversi sputum semakin rendah jika peningkatan berat badan yang dialami pasien di akhir tahap intensif < 1 kg dibandingkan dengan pasien yang mengalami peningkatan berat badan > 1 kg. Analisis Regresi Cox menunjukkan bahwa IMT < 18,5 kg/m2 menurunkan peluang terjadinya konversi sebesar 37,8% (HR 0,622; 95% CI 0,389-0,995) setelah dikontrol kategori pengobatan, peningkatan berat badan di akhir tahap intensif, dan hasil sputum di awal pengobatan. Status gizi pasien selama pengobatan perlu ditingkatkan untuk menunjang keberhasilan pengobatan.Kata kunci: Indeks masa tubuh, konversi sputum, RSUP Persahabatan, tuberkulosis paru

Give only breast milk for the first six months is recommended for optimizing the infant's growth and development. In fact, the rate of exclusive breastfeeding in Indonesia is relatively low. This study was aimed to assess the survival probability of exclusive breastfeeding and identify the factors related to early breastfeeding cessation. This study used cross sectional design with sample of 1088 mothers of infants aged 6-12 months. Data were obtained from The Indonesian Family Life Survey (IFLS) wave 5 that conducted in 2014-2015 and analyzed using survival analysis. The Life Table showed that half of exclusive breastfeeding cessation occurred in the first month of infant age, while the exclusive breastfeeding survival probability was 21.3%. The median duration of breastfeeding in Indonesia was 2.03 months. Cox Regression revealed that mother's education and place of delivery were associated with early breastfeeding cessation (p<0.05). The promotion programs of exclusive breastfeeding should be increase since the duration of breastfeeding among Indonesian mothers was relatively short.

Patients with chronic conditions often report sleep disturbance that affects their daily activities and health status. Information about the association between sleep disturbance and general health status in patients suffering from chronic conditions is limited, especially in relation to the developing countries of Asia. This study was conducted to estimate the prevalence of sleep disturbance and its relationship with the general health status of patients with chronic conditions in Indonesia. This cross-sectional study included 9,807 patients with chronic conditions who had participated in the Indonesian Family Life Survey (IFLS) wave 5. While sleep disturbance was measured by using the PROMIS sleep disturbance 4a short-form v1.0, general health status was assessed from self-rated health. Multivariable logistic regression was performed to assess the association between sleep disturbance and general health status. The study found that 75.7% of the patients with chronic conditions experienced sleep disturbance. In addition, the odds of being unhealthy among patients with sleep disturbance was 18% higher than those who did not experience sleep disturbance after being controlled by other covariates (p-value = 0.002; AOR 1.18; 95% CI 1.06–1.30). Sleep disturbance was associated with a poor general health status in patients with chronic conditions. Therefore, early detection of sleep disturbance and immediate intervention may lead to better health outcomes in patients with chronic conditions. Keywords: sleep disturbance, health status, chronic conditions, Indonesia